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@#Introduction: Despite remarkable improvement in maternal health, anaemia during pregnancy remains a significant public health threat to Malaysian women. This study aimed to determine the prevalence, severity, and associated factors of anaemia in pregnancy among pregnant mothers in Seremban, Negeri Sembilan. Methods: A total of 482 pregnant mothers were recruited using cluster sampling. Data were collected using a validated and pre-tested self-administered questionnaire consisting of four sections, namely socio-demographic and socioeconomic details, obstetric history, nutritional factors, and iron supplementation status. In this study, anaemia in pregnancy was defined as haemoglobin (Hb) <11.0 g/dL, which was based on blood test taken during the first trimester. The data were analysed using IBM SPSS version 23.0. Multiple logistic regression analysis was conducted to determine the predictive model for anaemia during pregnancy among the respondents. Results: The prevalence of anaemia in pregnancy among the respondents was 22.0%, with 95.3% respondents mildly anaemic. Respondents with an intake of iron supplementation of once daily (AOR=0.191, 95% CI: 0.074- 0.914), more than once daily (AOR=0.149, 95%CI: 0.091-0.248), and low intake of seafood (AOR=0.320, 95% CI: 0.187-0.526) were less likely to develop anaemia during pregnancy. Conclusion: The findings revealed moderate level of anaemia in pregnancy, which was dominated by those in the mild category, with increased risk predicted among young mothers. Iron supplementation (once daily or more) and low intake of seafood protected mothers from developing anaemia during pregnancy.
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Abstract@#Women with gestational diabetes mellitus (GDM) during their pregnancy have a greater risk of developing overt diabetes mellitus and dysglycemia (prediabetes, impaired glucose tolerance or impaired fasting glucose) later in future, compared to mothers with normal pregnancy. Postpartum screening is crucial for early identification of type 2 diabetes (T2DM) in women with GDM. Nevertheless, despite various strategies, its rate remains low. A systematic review using databases of PubMed/Medline, Science Direct and CINAHL from 2008 to 2018, was conducted to identify the factors influencing the attendance of postpartum diabetes screening. Open access English articles, focusing on observational studies were reviewed. Primary screening of titles and abstracts of 91 articles were done, secondary screening of 31 articles resulted in 6 articles, included in this manuscript. Various factors identified to be associated with the attendance to postpartum diabetes screening, which are age, education, ethnicity, some obstetric factors like multiparty, and history of insulin usage previously. Many women fail to be screened for diabetes during the postpartum period, and this delays T2DM diagnosis, which in turn gives rise to various complications. Further research that considers these factors is necessary for developing interventions to improve postpartum T2DM screening for mothers with GDM during their pregnancy